Revision of Lap-Band to MGB

Abstract

Adjustable gastric banding was a common restrictive bariatric operation in the 1990s and early 2000s. Being a relatively simple procedure, it led the bariatric operations into laparoscopic technique.

Unfortunately, there was frequent weight loss failure or regain, and complications occurred with the band, stomach, esophagus, and tubing. Accordingly, accompanying or following band removal, frequent revision was necessary. Revision to a Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), or more lately mini-gastric bypass (MGB) has been frequent. MGB is our favored revision, with the OAGB of Carbajo used where GE reflux exists. The techniques of these revisions are discussed and shown.